PRN Registered Nurse - Adanced Medical - Day/Night

Wellspan Health • Chambersburg, PA

97d

About The Position

3 West - Advanced Medical - Registered Nurse - PRN 3 West - 30-bed unit; primary focus - advanced Medical/Surgical and stroke. Individualized orientation program with knowledgeable preceptors focuses on clinical skill development and enhancement of professional role within the Med-Surg environment. PRN - will need to work a min of 24 hours off shift per 6-week schedule 12-hour day/evening/night Weekend and Holiday as needed Shift and Weekend Differential Eligibility.

Requirements

• Graduate of an accredited School of Nursing required; Bachelor of Science in Nursing is preferred.
• Evidence of participation in educational programs to update and maintain current knowledge and clinical skills.
• Experience applying customer service behaviors and communication skills required.
• Previous nursing experience in specialty area preferred.
• For Cath Lab, one year of acute care nursing experience (ED, Cath Lab, CCU, IMCU, Tele-Observation) preferred.
• For Cardiac Rehab, two years experience in Critical Care and/or Progressive Care required.
• For Cardiovascular Services, two years of experience reading cardiac monitors and be self directed in responding to abnormalities or cardiac arrests codes as a team member.
• For Device Clinic, at least one year of device management services required. Successful completion of EKG course required. At least two years of acute care nursing required (Tele-Observation, IMCU, CCU, Cath Lab, ED).
• For Emergency Department, at least one year of RN experience in ED or Critical Care required.
• For Family Birthing Services, a minimum of 1 year Labor and Delivery experience (within the last five years); For Family Birthing position posted as a trainee position, requirement of at least 1 year of experience as an RN with preferred areas of ICU, CCU, IMCU, ED or internal nurse intern upon successfully completing accredited nursing program.
• Experience requirement does not apply to an RN in the Family Birthing Services Fellowship Program (FBSFP).
• For Infusion Services, 6 months of infusion nursing experience required, and 6 months Midline and PICC experience required.
• For Wound Care Center, two years experience and expertise in the nursing process related to wound care required. Experience in advanced wound care initiatives preferred.
• For Outpatient Behavioral Health Services, two years experience in Behavioral/Psychiatric nursing is required. Previous experience in a Behavioral Health Outpatient setting preferred. Child Abuse Recognition and Reporting Training in accordance with Act31 of 2014 required. Federal Bureau of Investigation (FBI) Clearance and finger printing required.
• For Rapid Admission, requires one year acute care experience and successful completion of EKG course within six months of hire.
• For SDS / PACU, must have experience with, and be familiar with, reading cardiac monitors and be self directed in responding to abnormalities or cardiac arrest as a team member. Must have recent clinical experience with cardiopulmonary resuscitation and have the ability to lead a Code Blue in the absence of a higher level professional.
• For Medical Surgical (Renal, Oncology and Pediatrics), pediatric experience is preferred.
• For Level II NICU, a minimum of one year NICU experience (within the last five years); For Level II NICU position posted as a trainee position, requirement of at least 2 years of experience in: NICU Level 1, Labor and Delivery, Post-Partum, Nursery, PICU, ICU, ED, or CCU. Or, for Level II NICU position posted as a trainee position, requirement of a new graduate RN with (A) practicum/capstone in Labor and Delivery, Nursery, or NICU, or (B) experience as Tech/Aide in Labor and Delivery, Post-Partum Nursery, or NICU.

Nice To Haves

• Certification in specialty preferred.
• CPR certification required.
• ACLS required for Cardiovascular Services, CCU, Device Clinic, Emergency, IMCU, FBS, Tele Observation, PACU/SDS, or achieved within one year of start date.
• ACLS required for Cardiac Rehab or achieved within 3 months of hire/transfer.
• Proficiency in cardiac monitor interpretation, conscious sedation, and ACLS required for Cath Lab or achieved within 6 months of hire/transfer.
• ACLS required for Float Pool.
• PALS required for Emergency, PACU, and Pediatric trained staff within one year from start date.
• PALS and Conscious Sedation is required for SDS, or must be achieved within four months of hire/transfer.
• CNOR preferred for OR.
• CPAN/CAPA preferred for PACU/SDS.
• CRRN preferred for Rehabilitation Medicine.
• NRP required for Level II NICU.
• NRP and Fetal Monitoring Pathway required for Family Birthing Services within one year from start date.
• STABLE required for FBS, Level II NICU within 12 months from start date.
• PMH-BC preferred for BHS (IP and OP).
• Proficiency in cardiac monitor interpretation required for PACU/SDS, IMCU, Tele Observation, CCU, Cardiac Rehab, Cardiovascular Services, Cath Lab, and Emergency.
• WOCNCB or CWCN preferred for Wound Care Center.

Responsibilities

• Demonstrates safe medication practice.
• Maintains a professional image that reflects the employee's role in health care, with confidence and a positive impression.
• Completes chart check to ensure no missed orders.
• Accurately transcribes physician's orders.
• Demonstrates therapeutic communication skills.
• Demonstrates ability to assess patient education needs and use of patient education resources.
• Demonstrates involvement in unit by attending 50% of staff/committee meetings and in-services for area.
• Demonstrates leadership through the nursing process and supervision while maintaining accountability for treatment and patient outcomes.
• Acts as a resource person regarding patient care, specialty area, orientation and teaching of staff.
• Responds to delays in a calm manner. Apologizes for inconveniences and gives alternatives.
• Analyzes assessment data, identifies priority problems and documents on Plan of Care in PCS for patients and families and significant others.
• Uses effective problem-solving skills to plan patient care.
• Identifies critical factors evidencing changes in patient condition and responds appropriately.
• Completes and documents discharge assessment against plan of care goals.
• Initiates and maintains Intravenous Therapy according to IV standards.
• Responds appropriately to emergency situations.
• Utilizes proper body mechanics to prevent injury to self and others. Safely positions, transfers and transports patients.
• Functions as a virtual nurse as assigned which includes, but is not limited to, admissions, discharges, education, documentation through a virtual platform and working collaboratively with the bedside nursing staff.
• Completes accurate problem focus patient assessments and treatments.
• Identifies abnormal clinical findings and responds appropriately.
• Evaluates patient response to medications and treatments.
• Performs peritoneal dialysis (only RNs assigned to renal, pediatrics, and oncology 3 East unit).
• Accesses and deacceses med ports.
• Administers chemotherapy agents.
• Demonstrates appropriate procedure for the discard of chemotherapy agents and clean-up of spills.
• Demonstrate the appropriate technique for bladder scanner.
• Cares for the Bariatric patient.
• Performs continuous bladder irrigation.
• Performs intermittent hand bladder irrigation.
• Cares for the postoperative orthopedic patient.
• Cares for the neurological patient.
• Cares for the patient receiving lidocaine infusion.
• Cares for the postoperative neurological patient.
• Cares for the neurovascular patient.
• Cares for the acute renal failure patient.
• Demonstrates appropriate care of the patient with a PCA or epidural pump.
• Rounds with physicians.
• Demonstrates appropriate pre/post operative patient management.
• Utilizes appropriate fall prevention protocols.
• Demonstrates understanding and application of pain management techniques.
• Provides care to the pediatric/adolescent in accordance with age specific development (Videos and hands on demonstration are required to be viewed on orientation and reviewed yearly at skills day), including a medication exam.
• POC demonstration in PCS (Attention to age specific documentation). This is audited with PE tools.
• Completion of 8 hour Pediatric Emergency Assessment Recognition and Stabilization (PEARS) class.

What This Job Offers

• Career Level: Entry Level
• Industry: Ambulatory Health Care Services
• Education Level: Bachelor's degree